Due to growth, we are adding  Sales Analyst to our Sales department!   The Sales Analyst supports the client acquisition and retention efforts of Navitus by providing professional and timely support to the Sales team while insuring the timely coordination and delivery of sales materials to key advisor relationships. The Sales Analyst participates in critical sales and marketing efforts. Among other job responsibilities, this position supports the maintenance, development, and distribution of a variety of sales collateral needs and works...

This is an onsite role based out of our Madison, WI campus located at 310 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding Fulfillment Specialist to our Lumicera Pharmacy in Madison, WI!   

Due to growth, EpiphanyRx is adding an Account Manager to the team!    The Account Manager will be part of an account team that values our client...

Navitus Health Solutions is seeking a Medical Director to join our Health Strategies department.    The Navitus Medical Director serves as the medical expert within the Health Strategies Division to provide clinical leadership and guidance in support of clinical program development and execution, prior authorization (PA), grievance and appeals, and client directed initiatives. The Medical Director will assist the Health Strategies Division in assuring the prescription drug benefit is evidence based and provides clinical outcomes in a financially responsible manner in accordance with all applicable laws, regulations, and client expectations. Clinical policy development and oversight in support of prior...

This is an onsite position working in office at our Appleton, WI campus located at 1025 West Navitus Dr. Appleton, WI 54913.   Navitus Health Solutions is seeking a Coordinator I, Audit to join our Pharmacy Audit department!   The Coordinator I, Audit will assist the Manager, Pharmacy Audit and Audit Team in the execution and...

Due to growth, we are a Specialist, Specialty Pharmacy Account Management Operations adding  to our Trade Relations department.   The Specialist, Specialty Pharmacy Account Management Operations, will support and enable the operations of their assigned specialty pharmacy business line to ensure seamless operational delivery and service is provided for patients of the client. This role will be responsible for coordinating and completing tactical and operational projects required for accurate client relationship management (CRM) activities....

Due to growth, EpiphanyRx is adding a Client Services Executive to our team.    The Client Services Executive (CSE) is responsible for the co-development of long-term account strategy for their assigned clients. Working with subject matter experts, the CSE will be for responsible for...

Due to growth, we are adding Sr. Market VP, Consultant Relations to our Sales Support department.     The Sr. Market VP, Consultant Relations is responsible for the strategic account management of national benefit...

Navitus Health Solutions is seeking a Director, PBM Network Contracting to join our Pharmacy Network Contracting department! This role is ideal for someone with previous pricing experience for or with a provider that may include

EpiphanyRx is seeking a Project Manager, Implementation to join our team!    The Project Manager, Implementation (IPM) is a highly motivated professional with at least 3 years of successful client implementation experience. The IPM will interface with employer type clients as well as brokers, consultants, and coalitions to manage projects that could include transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs,...

Due to growth, we are adding a Service Delivery Specialist to our team!   Under direction from the Supervisor, Specialty Pharmacy Operations and the Pharmacist in Charge and/or Supervisor of Service Delivery, the Service Delivery Specialist is primarily responsible for the ongoing monitoring and carrier communication to help assure shipments deliver as intended. The Service Delivery Specialist’s objective is to use carrier or third-party resources at their disposal to quickly and efficiently resolve issues that may occur during shipment...

This role is located onsite at our facility located at 9185 E. Pima Pkwy. Ste. 200 Scottsdale, Arizona 85054 United States.   Due to growth, we are adding Clinical Operations Pharmacist to our team!   The Pharmacist, Clinical Operations’ main duty is to interpret physicians'...

Navitus Health Solutions is seeking a Claims Analyst to join our CAO Support department!   This position ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. The Claims Analyst role is responsible for analyzing, documenting and reporting findings of claim processing issues. Individuals in this role will...

Lumicera Health Services is seeking a Software Developer II to join our Lumicera IT department!  

Due to growth, we are adding a Client Onboarding Advisor to our team!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The...

Due to growth, we are adding an Regulatory Adherence and Audit Manager to our compliance department.   This position is responsible for company-wide internal audits in accordance with annual audit objectives and work plans, established audits, and state and federal regulations implemented by Navitus’ Legal team.   This also includes responding to external audit activities and facilitating enhancements to established audits. The Manager will be responsible for prioritizing and coordinating all audit activities, conducting quality...

Due to growth, we are adding Program Manager, 340B Pharmacy Services to our Lumicera Trade Relations department.   The Program Manager of 340B Pharmacy Services is responsible for optimizing qualifications of claims eligible for the 340B program in collaboration with our external partners from organizations with Covered Entity locations.  This associate will work cross-functionally with teams at Lumicera and Lumicera-operated pharmacies to deliver value for partners through designing, implementing, and continually improving workflows and processes in scope...

Navitus Health Solutions is seeking a Benefit Configuration Analyst to join our team!    The Analyst, Benefit Configuration position is responsible for analysis, interpretation, integration and business decisions with regards to hierarchy, pharmacy network rates and Navitus’ formulary configuration designs.   This position requires knowledge of both the technical and operational sides of the business utilizing...

Due to growth, we are adding Director, Pharmacy Fulfillment Operations to our Lumicera Administration department!  An unrestricted pharmacy license is required for this role, and we encourage pharmacist applications with central fill, pharmacy product logistics exposure, and/or experience opening new pharmacies, moving existing establishments, or workflow process optimization.      

Navitus Health Solutions is seeking a Sr. Copywriter to join our Marketing Communications department! 

Due to growth, we are adding a Pharmacy Technician I to our Lumicera Pharmacy Cape Girardeau department.    Under direction from the Pharmacist-in-Charge and other pharmacists in the Specialty Pharmacy, the Pharmacy Technician I is primarily responsible for assisting the pharmacist in obtaining all the necessary information for dispensing and adjudicating a medication correctly. The Pharmacy Technician I’s main objective is to answer phone calls...

Navitus Health Solutions is seeking a Reporting Specialist, Pharmacy Network  to join our Pharmacy Network Contracting department!  

Navitus Health Solutions is seeking a Sr. Financial Analyst, Medicare Part D to join our Government Programs department!  

Due to growth, we are adding a Sr. Business Intelligence Analyst to our FFS Solutions Resources department.  

Navitus Health Solutions is seeking a Medicare Services Executive to join our Government Programs department's West Coast team! 

Job Summary: The Reimbursement Analyst, Pharmacy Network is responsible for the operation of the Navitus Maximum Allowable Cost (MAC) pricing program and other generic and brand reimbursement systems with pharmacy providers.  The objective is to achieve market leading discounts, fair reimbursement to providers, and to ensure maximum competitive pricing is attained. The Analyst supports and evaluates agreements with providers and the MAC program through financial price modeling, analysis, and reporting. This position will communicate and work cross functionally with other teams on generic trends and generic drug discount change effects. Provider and...

As part of the Government Programs Team and reporting to the General Manager, Medicare Part D, the Operations Manager, Medicare Part D administers operational responsibilities on behalf of Navitus’ Medicare Product and implements systemic process and systems updates based on CMS regulatory changes for all Navitus Part D clients. The Manager will ensure success completion of projects led by the team, implement and administer processes that govern those projects, and is responsible for ongoing operational processes. This position will interface primarily with the Government Programs Medicare Functional Product Team, Technical Operations Team, Part D Compliance Team, and Client Account Management.

Due to growth, we are adding Systems and Quality Analyst Manager to our team.    The Systems and Quality Analyst Manager will provide support for the development, implementation, and maintenance of our FFS Medicaid products.   The FFS...

The Sr. Business Analyst provides business analysis support to the development, implementation, and maintenance of all products within the Fee For Service(FFS) Department. The Sr. Business Analyst will interact with key operating departments related to Fee For Service (FFS) Department  business development and operational compliance. The Sr. Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or specific state guidance and is responsible for proactive review of all CMS and state regulations and guidance....

This is a hybrid role working 2-3 days onsite each week at our Madison campus located at 361 Integrity Dr, Madison, WI 53717.   Due to growth, we are adding a Analyst, Revenue Cycle Management to our Accounting team.   The Analyst, Revenue Cycle Management is responsible for supporting the Sr. Manager, Revenue Cycle Management in implementation and ongoing administration of best-in-class billing and accounts receivable systems and processes.  The...

The Manager, Accounting is responsible for overseeing the day-to-day operations of the accounts payable and payroll functions within the accounting department. This involves managing a team of accounts payable specialists, ensuring accurate and timely processing of invoices, maintaining vendor relationships, and collaborating with internal team members. Manage the payroll team and provide strategic direction and expertise in the payroll functions. This positions also works to maintain data quality in the financial system, develop effective internal controls and processes, and lead process improvement projects.